Techniques for treating one or more diseases of altered IgE regulation in a patient are provided. For example, a technique for treating one or more diseases of altered IgE regulation in a patient includes the step of administering a therapeutically effective amount of one or more sophorolipids to the patient in a manner which decreases IgE production in the patient. Further, the technique for treating one or more diseases of altered IgE regulation may include administering a therapeutically effective amount of one or more sophorolipids intravenously, intramuscularly, as an inhalant, subcutaneously, topically and/or systemically.
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1. A method of treating asthma comprising administering one or more sophorolipids to a patient in need thereof in an amount which is effective to decrease IgE production wherein the one or more sophorolipids are administered one or more times daily for a period of one or more days and in an amount in the range of 0.5 milligrams per kilogram of body weight of the patient to 750 milligrams per kilogram of body weight of the patient.
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This application claims the benefit of U.S. Provisional Application Ser. No. 60/888,384, filed on Feb. 6, 2007, the disclosure of which is incorporated by reference herein.
The present invention relates generally to immunology and, more particularly relates to methods for treating diseases of altered IgE regulation.
Sophorolipids are a class of microbial glycolipids and promising modulators of the immune response. Sophorolipids have been used in attempts to treat medical conditions such as sepsis. For example, existing approaches in the area of treatment of sepsis include U.S. Patent Application Publication No. US 2004/0214795 to Gross entitled “Treatment and Prophylaxis of Sepsis and Septic Shock,” which includes a method and composition for the prophylaxis or treatment of humans or animals for septic shock and sepsis using a mixture of sophorolipids.
Immunoglobulin E (IgE) is an antibody subclass capable of facilitating significant immune system responses. IgE can specifically recognize certain allergens and have interactions with its known receptors which include a high affinity receptor FcεRI and low affinity receptor FcεRII, resulting in mediating inflammatory reactions. Such inflammatory reactions lead to symptoms associated with allergy and diseases such as, for example, asthma, eczema and allergic rhinitis. Individuals with diseases of altered IgE regulation (such as, for example, atopic individuals and individuals with hyper-IgE syndrome) can have as much as ten times the normal level of IgE in their blood.
As an example of an altered IgE regulation disease, asthma is a disease that affects the airways of a patient, thereby making breathing difficult. Asthma can tighten the muscles around the airways thereby restricting the air moving into and out of the lungs. Symptoms of asthma can include coughing, wheezing, shortness of breath and a tight feeling in the chest.
Existing approaches in asthma therapy, for example, effect treatment after IgE has been made and/or binds to its antigen. This approach is undesirable in that IgE that has interacted with an antigen has the capability of resulting in unwanted immune reactions, as noted above. Further, IgE that has already been made has the opportunity to interact and bind with its antigen, thereby facilitating the same undesirable immune reactions.
Accordingly, there exists a need for techniques to treat one or more diseases of altered IgE regulation which do not suffer from the above-noted problems associated with conventional treatment methodologies.
Principles of the present invention, in illustrative embodiments thereof, meet the above-noted need by providing techniques for treating diseases of altered IgE regulation in a patient.
For example, in one aspect of the invention, a technique for treating one or more diseases of altered immunoglobulin E (IgE) regulation in a patient includes the step of administering a therapeutically effective amount of one or more sophorolipids to the patient to decrease IgE production in the patient. Further, the technique for treating one or more diseases of altered IgE regulation may include administering one or more sophorolipids intravenously, intramuscularly, as an inhalant, subcutaneously, topically and/or systemically.
These and other objects, features and advantages of the present invention will become apparent from the following detailed description of illustrative embodiments thereof, which is to be read in connection with the accompanying drawings.
Principles of the present invention will be described in the context of an illustrative treatment methodology using sophorolipids. However, it is to be understood that the teachings presented herein are more generally applicable to methodologies for treating one or more diseases of altered IgE regulation in a patient by administering a therapeutically effective amount of one or more compounds directed to decreasing IgE production in the patient. A “therapeutically effective amount” of a given compound in a treatment methodology may be defined herein as an amount sufficient to produce a measurable decrease in IgE production in the patient. The term “patient” as used herein is intended to refer broadly to mammalian subjects, preferably humans receiving medical attention (for example, diagnosis, monitoring, etc.), care or treatment.
Sophorolipids decrease IgE production in U266 cells primarily by down-regulating important genes involved in IgE pathobiology in a synergistic manner, as well as by affecting plasma cell activity. Sophorolipids also possess anti-inflammatory activity and provide a novel therapy in diseases of altered IgE regulation.
Regulation of IgE levels can involve its receptors which include, for example, FcεRI and FcεRII (also known as CD23). CD23 regulation may facilitate an IgE-dependent mechanism of antigen presentation, whereby B cells expressing CD23 are able to present an allergen to specific T helper cells and stimulate further immune responses.
By way of example only and without loss of generality, as described herein, sophorolipids and/or their derivatives may be used in the treatment of asthma, although treatment of other diseases of altered IgE regulation are contemplated (for example, allergy). Detailed descriptions of the research and the effects of immunoglobulin treatment on asthma are provided in Bluth et al., “Sophorolipids decrease IgE production in U266 cells.” American Academy of Asthma Allergy and Immunology, Abstract #779, published as a supplement in Journal of Allergy and Clinical Immunology 117, S202 (2006) and “Sophorolipids Decrease IgE Production in U266 Cells by Downregulation of BSAP (Pax5), TLR-2, STAT3 and IL-6.” Hagler M, Smith-Norowitz T A, Chice S, Wallner S R, Viterbo D, Mueller C M, Gross R, Nowakowski M, Schulze R, Zenilman M E, Bluth M H, The Journal of Allergy and Clinical Immunology January 2007 (Vol. 119, Issue 1 (Supplement), Page S263), the disclosures of which is incorporated by reference herein. Specifically, the treatments described herein are effective in decreasing IgE production. Thus, sophorolipids and/or their derivatives, as taught in one or more embodiments of the present invention, may be administered to treat various diseases such as, for example, atopic diseases, including asthma.
Principles of the present invention include sophorolipids that may be derived from a natural mixture and/or select sophorolipid derivatives derived from Candida bombicola and/or any other organism capable of producing sophorolipids or derivatives.
In one illustrative example, log phase U266 (IgE producing myeloma cell line) cells were cultured in complete Roswell Park Memorial Institute medium (cPPMI)+/−increasing concentrations of sophorolipids (0.1-100 microgram per milliliter (ug/ml)) for 24-72 hours, after which levels of intracellular and extracellular IgE and immunoglobulin A (IgA) (for class switching), and soluble CD23 (sCD23) protein were determined in culture supernatants via flow cytometry and Enzyme-Linked ImmunoSorbent Assay (ELISA). Cells were assessed for proliferation via a MTT assay (an assay measuring changes in color for measuring cellular proliferation/growth), and cellular apoptosis using Annexin 5 (a probe in the annexin A5 affinity assay to detect cells which have expressed phosphatidylserine on the cell surface, a feature found in apoptosis as well as other forms of cell death) and Caspase 3 (cells that cleave other protein substrates within the cell resulting in the apoptotic process).
Cells were also assessed for changes in cell structure via the use of a confocal vehicle, cell surface expression of CD23 and CD38 (plasma cell marker), and changes in cell morphology (plasma cells/field) compared with controls (cRPMI, 20% sucrose vehicle). This data represents the number of plasma-like cells (defined as cells ≧2× the average cell diameter) per 100 cells. mRNA expression was determined for FcεRI (Fe epsilon RI, the high-affinity receptor for IgE), interleukin-6 (IL-6), interleukin-6 receptor (IL-6R), signal transducers and activator of transcription (STAT) protein 3 (STAT3), toll-like receptor 2 TLR-2, B cell-specific activator protein (BSAP) (or Paired box 5 gene (PAX5)) with β-actin as a control via reverse transcriptase dependent-polymerase chain reaction (RT-PCR).
Cell viability was determined by Trypan blue exclusion dye (>95%). This data signifies that greater than 95% of the assessed cells were viable (that is, alive). Data are reported as mean IgE international units per milliliter (IU/ml)+/−standard error (SE) and significance between groups was determined by student's t-test (statistical hypothesis test for two groups in which the test statistic has a student's t distribution if the null hypothesis is true). Also, significance among groups was determined by analysis of variance (ANOVA).
U266 cells cultured in cRPMI or sucrose vehicle produced high levels of IgE (520 IU+/−32). As illustrated in
Addition of increasing sophorolipid concentration (10 ug/ml) correlated with a bimodal cell surface expression of CD38 and an increase in the percentages of plasma-like cells compared with controls (14%, 4% respectively; p<0.05). As illustrated in
No adverse effects have been reported in laboratory animals at doses described herein. Also, sophorolipids and/or their derivatives, as used herein, can be easily chemically modified to augment target cells of interest and potency.
Given the above realizations made in accordance with one or more embodiments of the present invention, and general features associated therewith, the remainder of the detailed description will provide an illustrative explanation of techniques for implementing such realizations and features in the context of
With reference now to
With reference now to
One or more embodiments of the present invention illustrate an effect of sophorolipids in vivo (for example, in an in vivo asthma model). As described herein, a well established mouse ovalbumin model was employed and the ability of sophorolipids to decrease IgE, activation of ovalbumin (OVA) specific IgE in blood and bronchoalveolar lavage (BAL) fluid and pulmonary leukocytic infiltration was assessed. Sophorolipids were administered via nebulization, as this is a common route of therapeutic administration (that is, albuterol) during an acute asthmatic episode.
Also, asthmatic mice were treated pre- and post-full OVA asthmatic insult to determine if sophorolipid treatment can be given prophylactically. As shown in
Furthermore, sophorolipid treated animals had decreased levels of BAL fluid OVA specific IgE after two treatments when compared with non-treated asthmatic mice (
As illustrated in
Also, as illustrated in
As described above, sophorolipids have beneficiary effects in several cases of immuno-derived pathologies, such as asthma and sepsis, which in many respects have similarities in their underlying inflammatory activity. Furthermore, it is demonstrated herein that SL were able to decrease in vitro and in vivo IgE production in cell and animal models of asthma. Sophorolipids can, for example, decrease intra and extracellular IgE production in vitro, in an IgE producing cell line.
This IgE downregulatory effect can be due, for example, to sophorolipid mediated reduction in the expression of genes involved in IgE regulation including BSAP/Pax 5, IL-6, TLR2 and STAT3. These genes, both independently or synergistically, may be responsible in part for the decreased production of IgE in vitro and may also provide a mechanism of action for sophorolipids' anti-IgE effects. Furthermore, sophorolipids decrease asthmatic severity in an in vivo model of experimental asthma, in that administration of sophorolipids decreased leukocytic infiltration, edema and antigen specific IgE levels.
Sophorolipids are unique in that they can be chemoenzymatically modified to produce unique purified derivatives which have differential anti-inflammatory effects. Also, that these agents did not alter cellular or animal viability or proliferative capacity in these inflammatory models makes them attractive agents. As detailed herein, sophorolipids decrease IgE production and have the ability to reduce asthma severity (for example, in a mouse asthma model). In addition to possessing anti-inflammatory effects and being able to increase survival in experimental animal sepsis, sophorolipids are able to decrease IgE production in a B cell model by downregulating genes involved in IgE regulation in a dose dependent manner. Furthermore, sophorolipids are able to decrease asthma severity when administered before and after asthma induction, suggesting its potential therapeutic utility both prophylacticaly and as a treatment for acute exacerbations.
In a preferred embodiment of the present invention, one or more diseases of altered IgE regulation are treated in a patient by administering a therapeutically effective amount of one or more sophorolipids to the patient to decrease IgE production in the patient. As illustrated in the above figures, decrease in IgE production may include and/or be a result of, for example, anti-inflammatory activity.
Administration of sophorolipids and/or their derivatives may include dissolving the sophorolipids and/or derivatives in a pharmaceutically acceptable carrier. Suitable carriers may include, for example, ethanol, saline, dimethyl sulfoxide (DMSO), sucrose, or any other commonly used carrier.
Administration of sophorolipids and/or their derivatives may include administering amounts in an amount in the range of 0.5 milligrams per kilogram of body weight of a patient to 750 milligrams per kilogram of body weight of a patient. Also, sophorolipids and/or their derivatives may be administered one or more times daily for a period of one or more days.
For treatments being administered intravenously or intramuscularly, the solutions must be prepared in a suitable, injectable and sterile, form. Suitable injectable forms may include, but are not limited to, aqueous solutions and dispersions prepared in pharmaceutically acceptable carriers such as, for example, water, ethanol, glycerol, propylene glycol, liquid polyethylene glycol, vegetable oils, and the like. Further, the solutions should be prepared and stored in a sterile form and be adequately protected against contamination by microorganisms such as, for example, fungi, bacteria and viruses. Contamination may be prevented by the use of antimicrobial agents such as, for example, parabens, chlorobutanol, phenol, sorbic acid, thimerosal, and the like.
In another illustrative embodiment of the present invention, sophorolipids and/or their derivatives are administered to the patient as an inhalant. The inhalant may be in the form of an aerosol. Sophorolipids and/or their derivatives administered as an inhalant allow for the direct treatment of areas of the respiratory tract. Thus, administering sophorolipids and or/their derivatives in the form of an inhalant is useful for, but not limited to, the treatment of respiratory disorders or diseases such as, for example, asthma and asthma-related conditions.
In the one or more embodiments wherein sophorolipids and/or their derivatives are administered as an inhalant, the sophorolipids and or/their derivatives should be contained in, or formed into, particles of a size sufficiently small to pass through the mouth and larynx upon inhalation and into the bronchi and alveoli of the lungs. The particles can have a size in the range of, for example, about one to about ten microns in diameter.
In another illustrative embodiment, sophorolipids and/or their derivatives are administered to a patient topically. Topical applications are particularly useful for direct localized treatment, as well as particularly useful for treating diseases of altered IgE regulation such as, for example, skin allergies, eczema and the like. Topical applications may include the application of topical treatments including, but not limited to, ointments, creams, salves, transdermal patches, as well as any combination of the foregoing topical treatments. Ointments or creams may be prepared comprising sophorolipids and/or their derivatives and a suitable ointment or cream delivery medium. The ointment or cream may be applied to the areas of the patient requiring the treatment. The sophorolipids and/or their derivatives contained in the ointment or cream will diffuse transdermally into the body of the patient providing treatment to the effected area.
Additionally, as mentioned above, sophorolipids and/or their derivatives may be administered using a transdermal patch. A transdermal patch may be worn on the skin of the patient like, for example, a bandage. A transdermal patch allows for a prolonged treatment to be administered. For example, a patient may wear a transdermal patch for a plurality of hours and receive low dose treatments throughout that period. Other applicable treatment methods may be used in accordance with the teachings of the present invention. For example, a solution comprising sophorolipids and/or their derivatives may be injected or otherwise administered subcutaneously.
Sophorolipids and/or their derivatives may also be administered, for example, systemically as well as at a site of inflammation and/or rejection.
Because principles of the present invention illustrate that sophorolipids decrease and/or modulate expression of important genes involved in general immunoglobulin production, the foregoing techniques are provided merely as exemplary methodologies for administering treatment to a patient, and it is to be appreciated that the teachings of the present invention are generally applicable to any suitable methodology and should not be limited to any particular techniques described herein.
The foregoing techniques may be used to treat any disorder wherein the pathology lies in the diseases of altered immunoglobulin production. Further, in an illustrative embodiment, sophorolipids and/or their derivatives are used in the treatment of an autoimmune disease. The teachings of the present invention are applicable to the treatment of autoimmune diseases including, but not limited to, the following disease states: Guillain-Barre syndrome, Kawasaki syndrome, dermatomyositis, immune thrombocytopenic purpura (ITP), chronic inflammatory demylinating polyneuropathy, multifocal motor neuropathy, autoimmune hemolytic anemia, myasthenia gravis, Lambert-Eaton syndrome, Churg-Strauss vasculitides, multiple sclerosis, bullous pemphigoid, heparin-induced thrombocytopenia (HIT), post transfusion purpura (PTP), as well as any combination of the foregoing disease states.
In another illustrative embodiment, the sophorolipids and/or their derivatives are administered for the treatment of atopy and atopic diseases. Atopy is the predisposition for developing an IgE-mediated response to common environmental allergens. For example, atopic diseases include diseases such as hay fever, atopic dermatitis (eczema) and Job's syndrome. Also, atopy is the strongest identifiable predisposing factor for developing asthma.
In another illustrative embodiment, the sophorolipids and/or their derivatives are administered for the treatment of allergic diseases as well as inflammatory diseases.
While the present invention has been described in accordance with the treatment of diseases and disorders described herein, it is to be appreciated that the teachings of the present invention are generally applicable to any diseases or disorders necessitating immunoglobulin treatment. Thus, the teachings of the present invention should not be construed as being limited to the treatment of any particular disease or disorder.
Although illustrative embodiments of the present invention have been described herein with reference to the accompanying drawings, it is to be understood that the invention is not limited to those precise embodiments, and that various other changes and modifications may be made therein by one skilled in the art without departing from the scope of the appended claims.
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